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Clinical Problem Solving: Pathology
August 2007

Pathology Quiz Case 1

Author Affiliations

Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Otolaryngol Head Neck Surg. 2007;133(8):839. doi:10.1001/archotol.133.8.839

A 16-year-old girl presented with a 2-month history of right medial canthal swelling and epiphora. Physical examination revealed a firm, slightly tender, subcutaneous right medial canthal mass extending to the lacrimal fossa. The skin over the mass was movable and slightly erythematous. The lacrimal drainage system was partially patent to syringing. The findings of the rest of the eye examination were normal. There was no history of trauma to the area. Computed tomography revealed a 1.2 × 0.6-cm enhancing soft-tissue mass in the medial canthal area extending to the lacrimal fossa (Figure 1). The lesion had no malignant imaging characteristics.